GRAFTS IN

ORTHODONTIC
S
GRAFTS

A viable tissue that after removal from a donor

site is implanted with in a recipient tissue is
then restored repaired and regenerated.
GRAFTING

Procedure used to replace or restore missing

bone or gum tissue
CLASSIFICATIO
N OF BONE
GRAFT

Based on origin
• Autografts
• Allografts
• Xenografts
• Alloplasts
BASED ON MODE OF THEIR ACTION

• Osteogenic grafts
• Osteoinductive grafts
• Osteoconductive grafts
• Osteoneutral grafts
OSTEOGENIC GRAFTS:
• Grafted tissue contains the cells
necessary to form new bone.
• Only autografts have this capacity and
considered as gold standard.

OSTEOINDUCTIVE GRAFTS:
• Have the capacity to convert the
surrounding tissue to form osteoblasts
through the release of bone morphogenic
proteins.
OSTEONEUTRAL GRAFT:
• Graft which merely fills the bone
defect without producing any effect
and often gets capsulated.

OSTEOCONDUCTIVE GRAFT:
• Graft which is a physical effect by
which the matrix of the graft forms a
scaffold that favors outside cells and
blood vessels to penetrate graft and
form new bone .
Based on origin
AUTOGRAFT:
AUTOGRAFT:
• Where in the bone is obtained from the same individual
• Where in the bone is obtained from the same
ALLOGRAFTS: individual
• Which are obtained from different individual of same species.
XENOGRAFTS:
• Bone obtained from different species usually bovine or procine origin.
ALLOPLASTS:
• Synthetic graft materials/bone substitutes
SELECTION OF
GRAFT

• Osteoinductive potential
• Predictability
• Accessibility
• Availability
• Safety
• Rapid vascularization
IDEAL PROPERTIES

• Non toxic
• Non antigenic
• Resistant to infection
• Predictability
• Clinical feasibility
• Easy adaptability
• Readily and sufficiently available
IN ORTHODONTICS
• Cleft palate surgery • Sagittal split osteotomy
IN ORTHODONTICS
• Genioplasty • Lefort I osteotomy
IN ORTHODONTICS
• IMPLANTS